面动脉穿支皮瓣修复鼻部缺损的临床应用现状和存在的问题  

Facial artery perforator flaps in reconstructing nasal defects: the evolution and challenges

作　　者：吴乐昊 尤建军 王欢 朱珊 刘元波 Wu Lehao;You Jianjun;Wang Huan;Zhu Shan;Liu Yuanbo(Department of Plastic and Reconstructive Surgery,Plastic Surgery Hospital,Peking Union Medical College and Chinese Academy of Medical Sciences,Beijing 100144,China)

机构地区：[1]中国医学科学院北京协和医学院整形外科医院整形外科,100144

出　　处：《中华整形外科杂志》2019年第11期1151-1155,共5页Chinese Journal of Plastic Surgery

摘　　要：面动脉穿支皮瓣具有供区损伤小、受区外形和功能好的特点,在修复各种面部中、小面积缺损的临床应用中日益广泛。而鼻部作为面部美学重要的构成部分,对其缺损后三维结构的精准修复与重建就显得更加迫切。作者通过汇总文献,对面动脉穿支皮瓣修复鼻部缺损的解剖学基础、临床开展状况进行了综述,并分析了存在的问题,同时对口弓I喙菁绿SPY血管成像系统在面动脉穿支定位中的临床应用前景进行了展望。The facial artery perforator flap has the advantages of minimal donor site morbidity,acceptable appearance and function at recipent area, which brings its wide application in reconstruction offacial small and medium-sized defects. Nasal defects, as the most important aesthetic unit at face, requirethree・dimennsional and precise reconstruction. The article reviewed the anatomic study and the currentstatus of the clinical applications of this technique in reconstruction of nasal defects, as well as the existingquestions. The prospective application of SPY system in localization of facial artery perforator was alsoanalyzed.

关 键 词：外科皮瓣 穿支皮瓣 面动脉 鼻部 缺损 修复 

分 类 号：R73[医药卫生—肿瘤]